CAROLINA ORAL & FACIAL SURGERY, P.A.
NPI: 1639232184
· GREENVILLE, SC 29615
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 12/18/2006
$353K
Total Medicaid Paid
Provider Details
| Authorized Official | WILLIAMS, BART (CEO) |
| NPI Enumeration Date | 12/18/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
806 |
$102K |
| 2019 |
516 |
$59K |
| 2020 |
332 |
$21K |
| 2021 |
802 |
$98K |
| 2022 |
602 |
$65K |
| 2023 |
90 |
$4K |
| 2024 |
81 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
651 |
201 |
$174K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
684 |
676 |
$61K |
| D9222 |
|
679 |
679 |
$60K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,104 |
1,104 |
$45K |
| D7230 |
|
34 |
13 |
$8K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
25 |
13 |
$3K |
| D0330 |
Panoramic radiographic image |
52 |
52 |
$3K |